Clinical-Medical Image - International Journal of Clinical & Medical Images (2022) Volume 9, Issue 9
Author(s): A.R. Idihia*, O. Benlenda, Y. Hadzine, K. Mellali, I. Kribou, A. El Mekkaoui, H. Nassik
Department of Anaesthesiology and Reanimation, University Hospital Souss Massa, Faculty of Medicine and Pharmacy Ibn Zohr University Agadir, Morocco
Date of Submission: 12 September 2022, Manuscript No. ijcmi-22-76347; Editor assigned: 13 September 2022, Pre QC No. P-76347; Reviewed: 19 September 2022, QC No. Q-76347; Revised: 22 September 2022, Manuscript No. R-76347; Published: 30 September 2022, DOI:10.4172/2376-0249.1000846
Citation: Idihia AR. (2022) When Distal Lumen of a Central Venous Catheter of Hemodialysis does not Return Blood: A Case Report. Int J Clin Med Imaging 9:846.
Copyright: © 2022 Idihia AR. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
A 12 years old child was admitted to our Intensive Care Unit (ICU) with dialysis disequilibrium syndrome during an emergency dialysis session. He benefited previously of the placement of a two lumen 9Fr-13cm central venous catheter for haemodialysis in the left femoral vein (Figure 1a). 3 dialysis sessions later, the proximal lumen was not returning blood anymore, reason why we opted for the placement of a new haemodialysis catheter in the right femoral vein.
The patient was monitored with an electrocardiogram, a non-invasive blood pressure and a pulse oximeter. After putting the patient at the Trendelenburg position, Povidone iodine was used to clean the right femoral region and Lidocaine was used for local anesthesia and two sterile sheets were placed at the area. Using ultrasound and Seldinger technique, the insertion of the central venous catheter was achieved in one attempt [1,2]. Immediately after the placement, the proximal lumen was returning blood, but the distal lumen wasn’t . Therefore, we verified the permeability of the right femoral vein and the intravascular position of the catheter using ultrasonography, then, we made an X-ray image who objectified an angled distal tip (Figure 1b), probably related to lack of dilatation. The catheter was removed immediately. When testing the removed catheter using a syringe filled with isotonic saline, the proximal lumen (Figure 2a) was permeable, while the distal lumen (Figure 2b) wasn’t, and a thrombus was removed manually from it (Figure 3).
Central venous catheter; Hemodialysis
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